The authors are with the Mental Illness Research, Education, and Clinical Center (MIRECC), Corporal Michael J. Crescenz Department of Veterans Affairs (VA) Medical Center, Philadelphia. Dr. Mavandadi, Dr. Klaus, and Dr. Oslin are also with the Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Psychiatr Serv. 2018 Oct 1;69(10):1109-1112. doi: 10.1176/appi.ps.201800056. Epub 2018 Aug 9.
Nonengagement rates in specialty mental health care are high. This study examined the extent to which varying the message frame of appointment reminder letters was associated with attendance rates in specialty mental health appointments.
In a randomized, prospective, and experimental design, 360 patients meeting criteria for major depression and referred to specialty mental health care were randomly assigned to receive either a routine reminder letter or a reminder letter that included one of two messages (gain framed or loss framed). Letters were sent prior to patients' scheduled specialty care appointments, and attendance data were extracted for up to six months.
Participants who received letters with gain-framed messages attended their scheduled appointments at a significantly higher rate than those who received a routine letter with no additional message (p=.01).
Emphasizing the benefits of attending specialty mental health care appointments was associated with increased rates of attendance.
专业心理健康护理的不参与率很高。本研究旨在探讨在多大程度上改变预约提醒信的信息框架与专业心理健康预约的就诊率之间存在关联。
在一项随机、前瞻性和实验设计中，360 名符合重度抑郁症标准并被转介至专业心理健康护理的患者被随机分配接受常规提醒信或包含两种信息之一的提醒信（增益框架或损失框架）。信件在患者的专业护理预约前发送，并在长达六个月的时间内提取就诊数据。
与接受常规信件而无其他附加信息的患者相比，收到增益框架信息的信件的患者参加预约就诊的比例明显更高（p=.01）。
强调参加专业心理健康护理预约的好处与就诊率的提高有关。
